Transoral Septoplasty before Le Fort I Downfracture: A Novel Functional Rhinoplasty Technique

Area of Science:

• Oral and Maxillofacial Surgery
• Plastic Surgery
• Otolaryngology

Background:

• Maxillary dentofacial deformities often coexist with nasal airway obstruction and septal deviation.
• Current intraoral septoplasty techniques during bimaxillary surgery have limitations in visualizing the superior septum.
• Septal mobility after maxillary downfracture complicates transoral septoplasty.

Purpose of the Study:

• To describe a novel transoral septoplasty approach performed before complete maxillary downfracture.
• To improve visualization and stability of the nasal septum during combined bimaxillary procedures.
• To enhance the simultaneous correction of dentofacial deformities and nasal obstruction.

Main Methods:

• A modified transoral septoplasty technique is performed prior to the completion of Le Fort I maxillary downfracture.
• This approach aims to stabilize the nasal septum during the surgical dissection.
• Improved visualization of the septal L-strut facilitates precise cartilage resection.

Main Results:

• The novel technique enhances septal stability during dissection.
• Better visualization of the septal L-strut allows for more precise cartilage resection.
• This approach facilitates simultaneous correction of dentofacial deformities and nasal obstruction.

Conclusions:

• Performing transoral septoplasty before complete maxillary downfracture is a viable technique.
• This modified approach improves septal visualization and stability, aiding in precise correction.
• It offers a valuable alternative for addressing combined dentofacial deformities and nasal airway issues.